Vertebral Artery Surgery

Vertebral artery surgery is covered only when all four conditions are met: the patient has symptoms attributable to vertebral artery obstruction, alternative causes have been considered and ruled out, angiographic radiographic evidence documents a valid obstruction (with required views), and no contraindications such as multi-vessel cerebral obstruction exist. Claims must specifically identify the obstruction and the surgical procedure, include required angiographic documentation (including biplane and serial views as applicable), and are evaluated case-by-case for reasonableness and necessity; procedures without symptoms or without meeting these criteria are not reimbursable.

"Patient has symptoms attributable to vertebral artery obstruction (e."

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